Related Experiment Video
Updated: Aug 19, 2025
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
9.8K
A nurse-led home-based exercise program for patients with chronic kidney disease
Anna Junqué-Jiménez1, Vicent Esteve-Simó1, Lola Andreu-Periz2
1Nephrology Department, Hospital de Terrassa, Consorci Sanitari de Terrassa (CST), Barcelona, Spain.
Worldviews on Evidence-Based Nursing
|December 1, 2022
Summary
Home-based exercise programs significantly improve functional capacity in patients with chronic kidney disease (CKD) stage 5. This safe and satisfactory program enhances physical performance for individuals with renal failure.
Area of Science:
- Nephrology
- Exercise Physiology
- Public Health
Background:
- Exercise improves functional capacity and quality of life in kidney disease patients.
- Implementing exercise programs in nephrology services presents challenges.
Purpose of the Study:
- To evaluate the effectiveness of a home-based exercise program.
- Targeted patients with chronic kidney disease (CKD) stages 4-5, including those on dialysis.
Main Methods:
- A 12-week prospective observational cohort study.
- Assessed biochemical parameters, functional capacity (SPPB, STS10, 6MWT), handgrip strength, quality of life, satisfaction, and adherence.
- Used Wilcoxon and chi-square tests for data analysis.
Main Results:
- Significant improvements observed in SPPB, STS10, and 6MWT, particularly in CKD stage 5.
- No significant changes in handgrip strength or quality of life.
- High patient satisfaction (70% very satisfied) and perceived strength increase (64%).
Conclusions:
- Home-based exercise programs enhance functional capacity in CKD stage 5 patients.
- The program is safe and well-tolerated by patients.
- Home-based exercise is a viable option for improving physical function in CKD.
Related Concept Videos
01:28Chronic Kidney Disease III: Interprofessional Care
70
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
70
01:18Chronic Kidney Disease IV: Nursing Management
40
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
40
01:22Acute Kidney Injury VI: Nursing Management
45
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
45
01:25Chronic Kidney Disease I: Introduction
54
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
54
01:24Chronic Kidney Disease II: Clinical Manifestations
60
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
60
01:25Hemodialysis III: Nursing Management
111
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
111